Provider Demographics
NPI:1538118500
Name:LUCAS, JOSEPH P (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:LUCAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3504 VANN RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3221
Mailing Address - Country:US
Mailing Address - Phone:250-655-0585
Mailing Address - Fax:205-655-0586
Practice Address - Street 1:3504 VANN RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3221
Practice Address - Country:US
Practice Address - Phone:250-655-0585
Practice Address - Fax:205-655-0586
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000179832084P0800X
AL179832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000027111Medicaid
AL051027111OtherBCBS OF AL
AL051027111OtherBCBS OF AL
F68627Medicare UPIN